Elizabeth Clark, in Jackson, MS - Medicare Certified Registered Nurse Anesthetist (crna)

Elizabeth Clark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Mississippi. She graduated from nursing school in 1986 and has 40 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Lifelinc Anesthesia Pllc, Sweet Dreams Anesthesia Pllc and her current practice location is 2500 N State St, Pfs, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-4619.

Elizabeth Clark is licensed to practice in Mississippi (license number R576255) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184710345.

Contact Information

	Elizabeth Clark,
	2500 N State St, Pfs, Jackson, MS 39216-4500
	(601) 984-4619
	Not Available

Map and Direction

Provider's Profile

Full Name	Elizabeth Clark
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	40 Years
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elizabeth Clark graduated from nursing school in 1986

NPI Data:

NPI Number: 1184710345
Provider Enumeration Date: 10/05/2006
Last Update Date: 12/17/2010

Medicare PECOS Information:

PECOS PAC ID: 8022190313
Enrollment ID: I20080125000087

Medical Identifiers

Medical identifiers for Elizabeth Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184710345	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R576255 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Medical Center-leake	Carthage, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifelinc Anesthesia Pllc	0941347447	126
Sweet Dreams Anesthesia Pllc	1254757685	18

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elizabeth Clark allows following entities to bill medicare on her behalf.

Entity Name	Gastrointestinal Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093765604 PECOS PAC ID: 5294795241 Enrollment ID: O20041013001263

Entity Name	Willow Anesthesia Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205169521 PECOS PAC ID: 9234279183 Enrollment ID: O20091228000308

Entity Name	Lifelinc Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277

Entity Name	Sweet Dreams Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427667724 PECOS PAC ID: 1254757685 Enrollment ID: O20200817002170

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Elizabeth Clark, 2500 N State St, Pfs, Jackson, MS 39216-4500 Ph: (601) 984-4619	Elizabeth Clark, 2500 N State St, Pfs, Jackson, MS 39216-4500 Ph: (601) 984-4619

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Jackson, MS

Emily Sumrall Childress, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Theresa Ann Davis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Austin Grant Conn, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Mollie Harrell, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Pfs, Jackson, MS 39216 Phone: 601-984-4619
John Tyler Mclendon, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-1000
James Walter Ishee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Zachary Halliwell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000

Elizabeth Clark, - Medicare Certified Registered Nurse Anesthetist (crna) in Jackson, MS